{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:08:04Z","timestamp":1777676884375,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To determine the outcome at 10\u2009years of a cohort of ASR XL total hip arthroplasties (THAs) and reasons for revision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between November 2005 and May 2007, 122 ASR XL THAs were implanted. All patients had a routine review at 6\u2009weeks and 1\u2009year, followed by a review in 2009 because of clinical concern and thereafter annual review up to 10\u2009years with MRI. Review also included functional scores, radiographs, pain scores and blood metal ions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>67 (54.9%) ASR XLs had been revised by 11.1\u2009years. Reasons for revision included pain (89.6%), high levels of cobalt and chromium ions (50.7%) and radiographic or MRI changes (80.6%). All 3 factors were present in 23 (34.3%). Pain at 1\u2009year did not predict revision, but pain at the 2009 review did. At 10\u2009years the revised patients had an average Oxford Hip Score (OHS) of 25.38 (12\u201342) and the non-revised 23.61 (2\u201321), the difference was not significant ( p\u2009 =\u20090.48). 3 patients (4.5%) have had a further revision; 2 for a previously unrevised stem and the other for instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our arthroplasty care practitioner service allowed us to identify increased pain and stop using the ASR XL over 3\u2009years before the implant was recalled. The revised patients had similar functional outcome to those unrevised. Poorly performing implants need to be identified earlier.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120700020913863","type":"journal-article","created":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T04:19:31Z","timestamp":1585714771000},"page":"759-765","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Ten-year outcomes following a cohort of ASR XL total hip arthroplasties"],"prefix":"10.1177","volume":"31","author":[{"given":"Gerard A","family":"Kelly","sequence":"first","affiliation":[{"name":"Primary Joint Unit, Musgrave Park Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet C","family":"Hill","sequence":"additional","affiliation":[{"name":"Primary Joint Unit, Musgrave Park Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seamus","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Outcomes Unit, Musgrave Park Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"McChesney","sequence":"additional","affiliation":[{"name":"Outcomes Unit, Musgrave Park Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice","family":"Dennison","sequence":"additional","affiliation":[{"name":"Outcomes Unit, Musgrave Park Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Centre for Public Health, Queen\u2019s University Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E","family":"Beverland","sequence":"additional","affiliation":[{"name":"Primary Joint Unit, Musgrave Park Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,1]]},"reference":[{"key":"bibr1-1120700020913863","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19990901-06"},{"key":"bibr2-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2002.33664"},{"key":"bibr3-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200112000-00007"},{"key":"bibr4-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200301000-00039"},{"key":"bibr5-1120700020913863","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01220"},{"key":"bibr6-1120700020913863","unstructured":"Australian Orthopaedic Association. National joint replacement registry, annual report 2007, https:\/\/aoanjrr.sahmri.com\/annual-reports-2007 (2007, accessed 19 September 2018)."},{"key":"bibr7-1120700020913863","unstructured":"National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 7th Annual Report, 2010, http:\/\/www.njrcentre.org.uk\/njrcentre\/portals\/0\/njr%207th%20annual%20report%202010.pdf (2010, accessed 19 September 2018)."},{"key":"bibr8-1120700020913863","unstructured":"Medicines and Healthcare Products Regulatory Agency. Medical device alert 2010, MDA\/2010\/033. MHRA, Department of Health, UK."},{"key":"bibr9-1120700020913863","unstructured":"Medicines and Healthcare Products Regulatory Agency. Medical device alert 2010, MDA\/2010\/044. MHRA, Department of Health, UK."},{"key":"bibr10-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B7.17577"},{"key":"bibr11-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B2.0780185"},{"key":"bibr12-1120700020913863","unstructured":"Medicines and Healthcare products Regulatory Agency. Medical device alert 2012, MDA\/2012\/036. MHRA, Department of Health, UK."},{"key":"bibr13-1120700020913863","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567070-00011"},{"key":"bibr14-1120700020913863","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.A.02039pp"},{"key":"bibr15-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22255"},{"key":"bibr16-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.03.027"},{"key":"bibr17-1120700020913863","unstructured":"Australian Orthopaedic Association. National joint replacement registry, annual report 2017, https:\/\/aoanjrr.sahmri.com\/annual-reports-2017 (2017, accessed 19 September 2018)."},{"key":"bibr18-1120700020913863","unstructured":"National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 14th Annual report 2017, http:\/\/www.njrreports.org.uk\/Portals\/0\/PDFdownloads\/NJR%2014th%20Annual%20Report%202017.pdf (2017, accessed 19 September 2018)."},{"key":"bibr19-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B1.36431"},{"key":"bibr20-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B12.BJJ-2016-0203.R1"},{"key":"bibr21-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-016-9323-1"},{"key":"bibr22-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.07.039"},{"key":"bibr23-1120700020913863","first-page":"1019","volume":"91","author":"Grammatopoulos G","year":"2009","journal-title":"Bone Joint J"},{"key":"bibr24-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B1.BJJ-2017-0462.R1"},{"key":"bibr25-1120700020913863","unstructured":"Bloomberg. J&J hip failure rate as high as 49 percent, U.K. doctors say, https:\/\/www.bloomberg.com\/news\/articles\/2011-03-09\/j-j-hip-replacement-failure-rate-may-be-49-u-k-orthopedists-group-says (2011, accessed 23 November 2019)."},{"key":"bibr26-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7241.1038"},{"key":"bibr27-1120700020913863","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01727"},{"key":"bibr28-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.56.2000568"},{"key":"bibr29-1120700020913863","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2012.745353"},{"key":"bibr30-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1016\/S0966-6362(01)00140-0"},{"key":"bibr31-1120700020913863","first-page":"102","volume":"99","author":"Layne CS","year":"2017","journal-title":"Bone Joint J"},{"key":"bibr32-1120700020913863","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B11.BJJ-2016-0194.R1"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120700020913863","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120700020913863","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120700020913863","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:21:39Z","timestamp":1777450899000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120700020913863"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,1]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1177\/1120700020913863"],"URL":"https:\/\/doi.org\/10.1177\/1120700020913863","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,1]]}}}